HIPAA compliant SaaS platform for Claims Processing, CMS 057-F CMS Regulatory FHIR APIs, EDI integration platform for healthcare payers. Process X12 transactions (270/275/277/278/837), FHIR R4 APIs, and CMS-0057-F compliance. Deploy on Azure, AWS (EKS), GCP (GKE), Digital Ocean (DOKS), Kubernetes.

Net-new payer-provider integration enabling OB providers to submit prenatal and postpartum clinical data into GuidingCare via a structured assessment workflow. Supports HEDIS measure closure and CMS Medicaid care management requirements.

CMS Price Transparency Rule compliance delivered via HealthSparq integration. Personalized cost estimates powered by real-time claims data across web and mobile.

D365 CRM platform delivering provider credentialing via Cactus integration and member document routing via Power Automate. Part of a broader Member 360 vision halted by acquisition. Projected $50K–$100K in annual print cost savings.

SQL analytics on a CMS-style healthcare data warehouse — PMPM metrics, provider outlier detection, enrollment trends, and program outcomes across 5 analytical sections

HIPAA-compliant member portal migration delivered in 8 months. Features Universal Person ID enabling multi-plan self-service across Medicare, Medicaid & Commercial lines.